+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Comparison of modified Kampala trauma score with trauma mortality prediction model and trauma-injury severity score: A National Trauma Data Bank Study



Comparison of modified Kampala trauma score with trauma mortality prediction model and trauma-injury severity score: A National Trauma Data Bank Study



American Journal of Emergency Medicine 35(8): 1056-1059



Mortality prediction of trauma patients relies on anatomical, physiological or combined scores. The purpose of this study is to compare the diagnostic accuracy of the modified Kampala Trauma Score (M-KTS) with the Trauma Mortality Prediction Model (TMPM), and Trauma-Injury Severity Score (TRISS) using data from a large dataset from a developed registry, the National Trauma Data Bank (NTDB). Using 2011 and 2012 data from NTDB, patient based trauma scores (M-KTS, TMPM, and TRISS) were calculated and predictive ability of M-KTS for mortality was compared with other trauma scores using receiver operating characteristics (ROC) curves. A total of 841089 patients were included in the study. TRISS outperformed other scores (AUC=0.922, %95 CI 0.920-0.924) with M-KTS as the second best score (AUC=0.901, %95 CI 0.899-0.903) followed by TMPM (AUC=0.887, 95% CI 0.844-0.889). For blunt trauma, TRISS (AUC=0.917, 95% CI 0.915-0.919) performed better than M-KTS (AUC=0.891, %95 CI 0.889-0.893) and TMPM (AUC=0.874, 95% CI 0.871-0.877). For penetrating trauma, M-KTS (AUC=0.956, 95% CI 0.954-0.959) and TMPM (AUC=0.955, 95% CI 0.951-0.958) had similar performance after TRISS (AUC=0.969, 95% CI 0.967-0.971). M-KTS performed worse than TRISS although its' main advantage is simple use in resource-limited settings.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059530061

Download citation: RISBibTeXText

PMID: 28222915

DOI: 10.1016/j.ajem.2017.02.035


Related references

Comparison of Revised Trauma Score, Injury Severity Score and Trauma and Injury Severity Score for mortality prediction in elderly trauma patients. Ulusal Travma Ve Acil Cerrahi Dergisi 22(6): 536-540, 2017

Comparison of Injury Severity Score, New Injury Severity Score, Revised Trauma Score and Trauma and Injury Severity Score for Mortality Prediction in Elderly Trauma Patients. Indian Journal of Critical Care Medicine 23(2): 73-77, 2019

The thorax trauma severity score and the trauma and injury severity score: Do they predict in-hospital mortality in patients with severe thoracic trauma?: A retrospective cohort study. Medicine 96(42): E8317, 2017

Comparison of the trauma and injury severity score and modified early warning score with rapid lactate level (the ViEWS-L score) in blunt trauma patients. European Journal of Emergency Medicine 21(3): 199-205, 2015

Predictors of mortality in adult trauma patients: the physiologic trauma score is equivalent to the Trauma and Injury Severity Score. Journal of the American College of Surgeons 194(6): 695-704, 2002

Application of "Trauma and Injury Severity Score" and "A Severity Characterization of Trauma" score to trauma patients in a setting different from "Major Trauma Outcome Study". Archives of Iranian Medicine 10(3): 383-386, 2007

Is the Kampala trauma score an effective predictor of mortality in low-resource settings? A comparison of multiple trauma severity scores. World Journal of Surgery 38(8): 1905-1911, 2015

A Comparison between the Ability of Revised Trauma Score and Kampala Trauma Score in Predicting Mortality; a Meta-Analysis. Archives of Academic Emergency Medicine 7(1): E6, 2019

A modified Kampala trauma score (KTS) effectively predicts mortality in trauma patients. Injury 47(1): 125-129, 2017

Acute Physiology and Chronic Health Evaluation (APACHE) III Score compared to Trauma-Injury Severity Score (TRISS) in Predicting Mortality of Trauma Patients. Emergency 4(2): 88-91, 2016

A comparison of the Injury Severity Score and the Trauma Mortality Prediction Model. Journal of Trauma and Acute Care Surgery 76(1): 47-52; Discussion 52-3, 2014

Comparison of APACHE II, Trauma Score, and Injury Severity Score as predictors of outcome in critically injured trauma patients. American Journal of Surgery 166(3): 244-247, 1993

Calculation of the probability of survival for trauma patients based on trauma score and the injury severity score model in fatemi hospital in ardabil. Archives of Trauma Research 2(1): 30-35, 2014

External validation of a modified trauma and injury severity score model in major trauma injury. Injury 2018, 2018

A comparison of the Acute Physiology and Chronic Health Evaluation II score and the Trauma-Injury Severity Score for outcome assessment in intensive care unit trauma patients. Critical Care Medicine 24(10): 1642-1648, 1996